Safety Program Table of Contents I) INTRODUCTION A) Kiemle-Hankins and Birclar Safety Policy B) Overview C) General Responsibilities D) Definitions E) Contact information II) SAFETY AND LOSS PREVENTION PROGRAM A) Scope and Responsibilities 1) Scope of Part II of the Company Safety Program 2) Responsibilities for Part II of the Company Safety Program B) Compliance and Disciplinary Procedure 2) Disciplinary Actions 3) Other Determining Factors 4) Safety Program Disciplinary Action Form C) Safety Program Communication 1) Program implementation 2) Safety committee meetings 3) Toolbox meetings 4) Safety Bulletin Boards 5) SAFETY FLASH 6) Safety Suggestion Form D) Hazard Identification and Prevention 1) Inspections 2) Job Hazard Analysis 3) Additional Hazard Identification Methods 4) Communication of results and corrective actions 5) Approval of new procedures, equipment, materials E) Emergency Action Plans 2) Required Topics 1/2/2008 Page 1 of 6
3) Administration F) Medical Treatment and First Aid 4) Blood borne pathogens G) Accident Investigations 2) Notification 3) Investigation and Reports 4) Follow-Up Procedures H) Safety Training 1) New hire orientation 2) Initial training 3) Ongoing and follow up training 4) Contractor training 5) Manager and supervisor training I) Record Keeping 2) Records maintained by the Safety Director 3) Records maintained by Division Managers J) Vehicle Safety 2) Vehicle Type Specific Requirements 3) Use of Personal Vehicles for Company Business 4) Personal Use of a CFV 5) Driver Screening 6) Vehicle Operation Checks 7) Vehicle Collisions or other emergency stops on a roadway 8) Driver Violations / Problems / Issues 9) Other K) Personal Protective Equipment 2) Selection 3) PPE Specific Information 4) Cleaning & Maintenance 5) Associate Training L) Tools, Tasks, and Equipment 1/2/2008 Page 2 of 6
M) Hearing Conservation N) Hazard Communication 2) Associate Information and Training 3) Hazardous Materials (HAZMAT) 4) Non-routine tasks 5) Auditing 6) Contractor and Subcontractor Information O) Respiratory Protection P) Confined Space Entry Q) Lockout/Tag Out 2) Definitions 3) LOTO Hardware 4) Program Components & Assignments 5) Working On Energized Equipment 6) Training, Qualifications, & Program Assistance 7) Program Review & Inspection R) Electrical Safety 2) Selection & Use of Work Practices 4) Field S) Hot Work 1/2/2008 Page 3 of 6
T) Material Handling U) Fall Protection V) Material Storage and Fire Prevention 1) Storing materials 2) Fire prevention W) Housekeeping X) Auditing 2) Audit Plan 3) Audit Completion Y) General Not covered elsewhere 1) Kiemle-Hankins and Birclar Drug Free Workplace Policy 2) Light Duty and Transitional Work 3) Work Attire Requirements 4) Contractor Requirements for Work on Company Property 5) Facility Entry / Exit Special Requirements III) ASSOCIATE SAFETY HANDBOOK IV) EXHIBITS (SEE NEXT PAGE) 1/2/2008 Page 4 of 6
Exhibit Name Type Rev. II.B Safety program Disciplinary Action Form Form N/A II.C.2 Sample Safety Committee Meeting Agenda Appendix 12/31/07 II.C.3 Toolbox Meeting Documentation Form 1/11/06 II.C.5 Safety Flash Sample Appendix N/A II.C.6 Safety Suggestion Form Form N/A II.D.2 Job Hazard Analysis (JHA) Form Form 12/19/07 II.D.2.b JHA Field Example Appendix 12/19/07 II.D.2.c JHA Shop - Example Appendix 12/19/07 II.F Required First Aid Kit Contents Appendix 12/26/07 II.G Accident & Near Miss Quick Report Form 12/20/07 II.G.1 OSHA First Aid Definition Appendix 12/20/07 II.H.1 New Hire Orientation Requirements Appendix 12/28/07 II.H.2 Long Form Initial Safety Training Form 12/28/07 II.H.3 Waiver of a "Q" Requirement Appendix 12/28/07 II.J.2 Driver Road Exam Appendix 12/31/07 II.J.6 Vehicle Operation Checklist Appendix 12/31/07 II.J.7 Vehicle Collision Form Form 12/31/07 II.J.8 Driver Point Assessment Worksheet Appendix 12/31/07 II.J.9.a Trailer Capable Company Fleet Vehicles Appendix 3/23/09 II.K IP Program Acknowledgement Form Form 12/21/06 II.L.1 Qualified, Licensed, and Permit Required Task List Appendix 12/18/07 II.L.3.a.i Welding PPE Selection Chart Appendix 12/18/07 II.L.3.a.ii Supervisors WQ Checklist Appendix 12/18/07 II.M OSHA App. A-Noise Exposure Computation Appendix 4/13/07 II.N.3.a.i HAZMAT Policy Appendix 10/19/05 II.N.3.a.ii( HMIL Appendix N/A II.N.3.a.ii( Service HMIL Appendix N/A II.N.3.a.iii Hazardous Material Use Worksheet Form 9/27/05 II.N.3.a.iv(1) Acid-Corrosive-Alkali Appendix 2/21/06 II.N.3.a.iv(2) Flammable Solvents Appendix 2/21/06 II.N.3.a.iv(3) Compressed Gasses Appendix 2/21/06 II.N.3.a.iv(4) Epoxy Appendix 2/21/06 II.N.3.a.iv(5) Welding Materials Appendix 4/5/06 II.N.3.a.iv(6) Trichloroethylene Appendix 4/5/06 II.N.3.b Sample Secondary Label Appendix 10/19/05 II.O Approved Facilities Appendix 12/17/07 II.R.1 Electrically Qualified Appendix 6/6/07 II.R.2.a Application of Temporary Safety Grounds Appendix 6/6/07 II.R.2.b.iii Hazard-Risk Categories Appendix 6/6/07 II.R.2.c NFPA 70E Table 130.2(c) Appendix 6/6/07 II.R.2.d Flash Protection Boundaries Appendix 6/6/07 II.R.2.f Electrical Work Permit Form 6/8/07 II.R.2.h(1) NFPA 70E Table 130.7(c)(8) Appendix 6/22/07 3/23/2009 Page 5 of 6
II.R.2.h(2) PPE Matrix Appendix 6/22/07 II.T.3.b Rigging Qualified Test Form 4/23/07 II.T.3.c.i PIT Training Requirements Appendix 4/20/07 II.T.3.c.ii PIT Operators License Form N/A 3/23/2009 Page 6 of 6